Doctor Name: | TIMOTHY D WEINREICH |
NPI Number: | 1003160193 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | HIS |
License Number: | 001034 |
Business Practice Address: | 1751 Madison Ave Council Bluffs, IA - 515035246 |
Business Phone Number: | 7122024934 |
Business Fax Number: | |
Mailing Address: | 8800 Se Sunnyside Rd, Suite 300n CLACKAMAS |
State: | OR |
Postal Code: | 970155738 |
Phone Number: | 5036595115 |
Fax Number: | 5036595968 |
NPI Enumeration Date: | 10/29/2012 |
NPI Last Update Date: | 10/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 237700000X |
License Number: | 001034 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Hearing Instrument Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |